Shoulder arthrography: comparison of morbidity after use of various contrast media

Journal Article · Fri Feb 01 00:00:00 EST 1985 · Radiology; (United States)

DOI:https://doi.org/10.1148/radiology.154.2.3966120· OSTI ID:5905684

Hall, F M; Goldberg, R P; Wyshak, G; Kilcoyne, R F

This prospective study compares immediate and delayed patient discomfort in 177 patients following shoulder arthrography using intraarticular combinations of metrizamide, meglumine/sodium diatrizoate, meglumine diatrizoate, lidocaine, epinephrine, and air. Patients receiving conventional ionic monomeric positive contrast media had a 60% (90/150) incidence of moderate or severe delayed exacerbation of their baseline symptoms; only 14% (3/21) of patients receiving metrizamide, a nonionic contrast medium had similar levels of postprocedural discomfort. Morbidity was somewhat diminished with the use of double-contrast (45%, 34/75) rather than single-contrast (75%, 56/75) examinations, and with avoidance of sodium-containing contrast agents or epinephrine. Nonionic or monovalent polymeric contrast media, despite their present high cost, may be the agents of choice if single-contrast arthrography is performed in joints associated with a high incidence of postprocedural pain.

• Research Organization: Harvard Medical School, Boston, MA
• OSTI ID: 5905684
• Journal Information: Radiology; (United States), Vol. 154:2
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BONE JOINTS
BIOMEDICAL RADIOGRAPHY
CONTRAST MEDIA
BIOLOGICAL EFFECTS
ADRENALINE
ARMS
METRIZAMIDE
PAIN
PATIENTS
ADRENAL HORMONES
AMIDES
AUTONOMIC NERVOUS SYSTEM AGENTS
BODY
BODY AREAS
CARDIOTONICS
CARDIOVASCULAR AGENTS
DIAGNOSTIC TECHNIQUES
DRUGS
HORMONES
LIMBS
MEDICINE
NEUROREGULATORS
NUCLEAR MEDICINE
ORGANIC COMPOUNDS
ORGANIC NITROGEN COMPOUNDS
ORGANS
RADIOLOGY
SKELETON
STEROID HORMONES
SYMPATHOMIMETICS
SYMPTOMS
550602* - Medicine- External Radiation in Diagnostics- (1980-)